| NPI | 1679833925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61276626) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA MD.207567) |
| 208M00000X Hospitalist (Licence: OR MD196928) | |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2022-08-10 |